Active NPI
Traci Lee Thomas, D.O.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1538259791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4376
- Practice address
- 7410 Macarthur Blvd
Oklahoma City, OK 73169-1412 - Phone
- (405) 682-4075
- Fax
- (405) 680-4476
- NPI assigned
- Oct 16, 2006
- Last updated
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4376 | OK | Primary |
Addresses
Primary practice location
7410 Macarthur Blvd
Oklahoma City, OK 73169-1412
Mailing address
7410 Macarthur Blvd
Oklahoma City, OK 73169-1412
Phone (405) 682-4075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8EF185 | Other | OK | MEDICARE |
Other names 1
- Traci Lee Carney
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220002462 | OK | Order and Referring Only - Family Practice | 9739273715 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federal Transfer Center Oklahoma City | Current | Accepting new patients | |
| Midway Medical Clinic | Family Medicine | Past | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
7410 S MacArthur Blvd
Oklahoma City, OK 73169
Phone (405) 680-4075
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prison Health Clinic/Center
- Oklahoma City, OK
- NPI 1720612443
-
- Family Medicine Physician
- Midwest City, OK
- NPI 1144307554
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1538259791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7410 MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731691412",
"telephone_number": "405-682-4075",
"fax_number": "405-680-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7410 MACARTHUR BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731691412",
"telephone_number": "405-682-4075",
"fax_number": "405-680-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TRACI",
"middle_name": "LEE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8EF185",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACI",
"last_name": "CARNEY",
"middle_name": "LEE",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.